| NPI | 1528523735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A SMITH CEO 571-383-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174200000X |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2021-01-12 |